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[Epileptic headaches (author's transl)]

W Geets

    Acta Neurologica Belgica
    |January 1, 1976
    PubMed
    Summary

    Pediatric patients experienced stereotyped headaches, with EEG showing abnormal discharges. Antiepileptic drugs proved effective, suggesting an epileptic origin for these headaches in children.

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    Area of Science:

    • Neurology
    • Pediatrics
    • Epileptology

    Background:

    • Headaches are common in children, with diverse etiologies.
    • Differentiating between primary headaches and secondary causes is crucial for appropriate management.

    Observation:

    • Three pediatric cases (ages 2-9) presented with recurrent, stereotyped headaches.
    • Electroencephalogram (EEG) revealed high-voltage paroxysmal discharges, particularly during hyperventilation.
    • Symptoms responded favorably to antiepileptic medications but not antimigrainous treatments.

    Findings:

    • The observed clinical and EEG features suggest a potential epileptic basis for these headaches.
    • The efficacy of antiepileptic drugs supports the classification of these headaches as 'epileptic' in nature.

    Implications:

    • This study highlights the importance of considering epilepsy in the differential diagnosis of stereotyped pediatric headaches.
    • Further research is warranted to fully characterize this headache presentation and its underlying mechanisms.

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